Weaver v. Cost Cutters

953 P.2d 851, 1998 Wyo. LEXIS 18, 1998 WL 65450
CourtWyoming Supreme Court
DecidedFebruary 19, 1998
Docket97-68, 97-106
StatusPublished
Cited by14 cases

This text of 953 P.2d 851 (Weaver v. Cost Cutters) is published on Counsel Stack Legal Research, covering Wyoming Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Weaver v. Cost Cutters, 953 P.2d 851, 1998 Wyo. LEXIS 18, 1998 WL 65450 (Wyo. 1998).

Opinion

*853 MACY, Justice.

These cases arose out of the same worker’s compensation administrative hearing and were consolidated by this Court for our review and decision. The hearing examiner denied permanent partial impairment benefits for Brenda Weaver (the claimant) and considered Cost Cutters’ (the employer) request to have the final determination modified on the grounds of mistake or fraud. Both parties, along with the Wyoming Workers’ Safety and Compensation Division (the division), petitioned the district court to review the hearing examiner’s order. The district court certified these cases to the Wyoming Supreme Court pursuant to W.R.A.P. 12.09(b).

We affirm in part, reverse in part, and remand.

ISSUES

The claimant offers the following issues for our review:

1. Whether the decision of the Office of Administrative Hearings to deny permanent partial impairment benefits is supported by substantial evidence.
2. Whether the Office of Administrative Hearings erred when it failed to recognize and give effect to a rebuttable presumption that [the claimant’s] impairment was not caused by a preexisting condition.

The division and the employer present the following issues for our analysis:

A. Did the Hearing Examiner improperly deny modification of past benefits at a hearing on an outstanding permanent disability claim in which the Division was unrepresented?
B. Was the Hearing Examiner’s decision limiting modification of benefits for fraud or mistake to outstanding claims contrary to law?

FACTS

The claimant worked for Cost Cutters as a cosmetologist. She claimed that she injured her back on July 29, 1994, when she slipped and fell at work while she was moving heavy boxes with a dolly. The claimant reported the accident to her manager on the day that the alleged fall occurred.

The employer’s manager testified that the claimant was laughing while she was telling her about the fall and that the claimant indicated she did not need to go to a doctor. According to the manager, the claimant telephoned her later that evening to tell her: “ T wasn’t even going to go to the doctor until I thought about how sick I am of the company, and so I decided to go.’ ”

The claimant filed a claim for worker’s compensation benefits on the day after she allegedly fell. In the injury report, she indicated that she had previously received medical treatment for a similar injury. The division reviewed the claim and awarded medical and disability benefits. The employer consented at that time to the division’s determination.

After the claimant had received medical benefits for almost two years, the division issued a final determination, awarding permanent partial impairment benefits. The employer objected to the determination and requested a hearing. The employer claimed that the claimant’s back injury did not result from the fall which allegedly had occurred while she was at work. The employer explained in a letter that, when the claimant began to work for the employer, she told the manager that she had recurring back problems. The employer also asserted that the claimant complained to co-workers and the manager about stomach and back pain which had been caused from her husband kicking her in the stomach. The hearing examiner scheduled a hearing to consider whether the claimant was entitled to receive permanent partial impairment benefits. The division elected not to participate in this hearing.

The employer submitted a second letter to the division, requesting that the final determination be modified on the grounds of mistake or fraud because the claimant suffered from a preexisting condition. The employer sought to have the claimant reimburse the division for the benefits which had been disbursed to her. The division issued a second final determination in which it denied all future benefits, stating that it made a mis *854 take when it found that the injury was work related. The claimant objected to this determination and asked for a hearing to consider the modification of benefits issue. Although the claimant specifically requested that this issue be considered during the hearing which had already been scheduled to consider permanent- partial impairment benefits, the hearing examiner scheduled a separate hearing for the modification issue. The division planned to participate in the modification hearing.

At the hearing on the permanent partial impairment benefits issue, the employer and the claimant were present. Evidence introduced by the employer to support the contention that the claimant had ongoing back problems prior to her alleged fall at work included testimony from the manager and a co-worker. The manager testified that, during the job interview, the claimant explained that she had a recurring back problem and would need time off to visit the chiropractor. The manager also stated that, before the claimant allegedly fell, she had missed several days of work because of back and leg problems.

The parties presented conflicting testimony about what occurred on the day before the claimant fell. The claimant’s co-worker and the manager testified that the claimant told them her husband had kicked her in the stomach during a domestic dispute. They stated that the claimant appeared to be in a significant amount of pain. The claimant testified that her husband did not lack her in the stomach but, rather, that he kicked the screen door and the screen door hit her in the stomach. She stated that, after the door hit her, she was crying and her stomach was hurting but that she did not call the doctor. She also testified that she did not have pain in her back as a result of being hit by the screen door.

The employer offered the testimony of Roy Kanter, a neurologist who had reviewed the medical records and prepared a report on the claimant’s condition. The doctor testified that he had reason to believe the claimant had back problems before she allegedly fell at work. He also testified that a hard kick to the stomach could have caused the claimant’s back problems but that he could not reasonably determine whether it was the fall or the kick which actually caused the back problems she had experienced since July of 1994.

During this hearing, the hearing examiner addressed the modification of benefits issue even though the division was not present. She denied permanent partial impairment benefits but concluded that the employer’s request for a modification of the benefits which had already been paid to the claimant should not be granted. The claimant petitioned the district court to review the administrative action. The employer and the division petitioned the district court to review the portion of the decision which dealt with the modification of benefits issue. The district court certified these cases to this Court pursuant to W.R.A.P. 12.09(b).

STANDARD OF REVIEW

When we are reviewing eases which have been certified to us pursuant to W.R.AP. 12.09(b), we apply the appellate standards which are applicable to a reviewing court of the first instance. Fansler v. Unicover Corporation, 914 P.2d 156

Free access — add to your briefcase to read the full text and ask questions with AI

Related

State v. Bannon Energy Corp.
999 P.2d 1306 (Wyoming Supreme Court, 2000)
In Re Pino
996 P.2d 679 (Wyoming Supreme Court, 2000)
Petroleum Inc. v. State Ex Rel. State Board of Equalization
983 P.2d 1237 (Wyoming Supreme Court, 1999)
Thomas v. Star Aggregates, Inc.
982 P.2d 714 (Wyoming Supreme Court, 1999)
Wyoming Department of Transportation v. Haglund
982 P.2d 699 (Wyoming Supreme Court, 1999)
Moncrief v. Wyoming Oil & Gas Conservation Commission
981 P.2d 913 (Wyoming Supreme Court, 1999)
Scott v. McTiernan
974 P.2d 966 (Wyoming Supreme Court, 1999)
Pette v. State ex rel. Department of Employment
968 P.2d 952 (Wyoming Supreme Court, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
953 P.2d 851, 1998 Wyo. LEXIS 18, 1998 WL 65450, Counsel Stack Legal Research, https://law.counselstack.com/opinion/weaver-v-cost-cutters-wyo-1998.